<!DOCTYPE html>
<html xmlns:th="http://www.w3.org/1999/xhtml">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">

							<input type="hidden" name="types" id="types">
							<div class="form-group">
								<label class="col-sm-3 control-label">参赛单位：</label>
								<div class="col-sm-8">
									<input id="unitName" name="unitName" placeholder="请输入单位名称/学校名称" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">省份信息：</label>
								<div class="col-sm-8" style="display: flex">
									<div style="margin-right: 20px;flex: 1">
										<input id="provinceText"  name="province"  type="hidden">
										<input id="province"  name="pid" placeholder="请选择" class="form-control" type="text">
									</div>
									<input id="cityText"  name="city"  type="hidden">
									<input style="flex: 1" id="city"  name="cid" placeholder="请选择" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">领队姓名：</label>
								<div class="col-sm-8">
									<input id="teamLeader" name="teamLeader" placeholder="请输入领队姓名" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">指导老师：</label>
								<div class="col-sm-8">
									<input id="teacher" name="teacher" placeholder="请输入指导老师" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">选手姓名：</label>
								<div class="col-sm-8">
									<input id="name" name="name" placeholder="请输入考生姓名" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">性别：</label>
								<div class="col-sm-8">
									<select id="sex"  name="sex" class="form-control">
										<option value="">请选择</option>
										<option value="男">男</option>
										<option value="女">女</option>
									</select>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">民族：</label>
								<div class="col-sm-8">
									<select id="nation"  name="nation" class="form-control">
										<option value="">请选择</option>
									</select>

								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-3 control-label">身份证号码：</label>
								<div class="col-sm-8">
									<input id="idNumber" name="idNumber" placeholder="请输入身份证号码" class="form-control" type="text">
								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-3 control-label">联系方式：</label>
								<div class="col-sm-8">
									<input id="ticketNumber" name="ticketNumber" placeholder="请输入考号/手机号码" class="form-control" type="text">
																			
								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-3 control-label">选手姓名：</label>
								<div class="col-sm-8">
									<input id="name2" name="name2" placeholder="请输入考生姓名" class="form-control" type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">性别：</label>
								<div class="col-sm-8">
									<select id="sex2"  name="sex2" class="form-control">
										<option value="">请选择</option>
										<option value="男">男</option>
										<option value="男">女</option>
									</select>
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">民族：</label>
								<div class="col-sm-8">
									<select id="nation2"  name="nation2" class="form-control">
										<option value="">请选择</option>
									</select>
								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-3 control-label">身份证号码：</label>
								<div class="col-sm-8">
									<input id="idNumber2" name="idNumber2" placeholder="请输入身份证号码" class="form-control" type="text">
								</div>
							</div>

							<div class="form-group">
								<label class="col-sm-3 control-label">联系方式：</label>
								<div class="col-sm-8">
									<input id="ticketNumber2" name="ticketNumber2" placeholder="请输入考号/手机号码" class="form-control" type="text">

								</div>
							</div>


<!--							<div class="form-group">-->
<!--								<label class="col-sm-3 control-label">所属竞赛：</label>-->
<!--								<div class="col-sm-8">-->
<!--									<input id="cbatchId" name="cbatchId" placeholder="请选择考试批次" class="form-control" type="text">-->
<!--								</div>-->
<!--							</div>-->
<!--							<div class="form-group">-->
<!--								<label class="col-sm-3 control-label">竞赛类型：</label>-->
<!--								<div class="col-sm-8">-->
<!--									<select id="competitionType"  name="competitionType" class="form-control">-->
<!--										<option value="">请选择试卷类型</option>-->
<!--										<option value="1">制定照护计划</option>-->
<!--										<option value="2">职业素养测评</option>-->
<!--									</select>-->
<!--								</div>-->
<!--							</div>-->





<!--							<div class="form-group">-->
<!--								<label class="col-sm-3 control-label">备注：</label>-->
<!--								<div class="col-sm-8">-->
<!--									<input id="notes" name="notes" placeholder="请输入备注" class="form-control" type="text">-->
<!--								</div>-->
<!--							</div>-->

							<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script src="//s.xlongwei.com/res/js/My97DatePicker/WdatePicker.js"></script>
	<script type="text/javascript" src="/js/webJs/jzweb/careSignUpComReality/add.js">
	</script>
</body>
</html>
